


Insurers process millions of claims. Systematic underpayment — paying consistently below contracted rates or fair market value — is one of the most common and least-detected forms of revenue loss in medical billing.
Practice With Ease reviews what your payers actually paid versus what they owe — by CPT code, by payer, and by contract. We find the pattern. We quantify the loss. Then we dispute it.
Free, no-obligation review. HIPAA compliant. Delivered within 5 business days.
The average specialty practice is underpaid on 1 in 5 OON claims.
Your practice is treating patients. Your billing company is submitting claims. But between those two things, money is disappearing — quietly, consistently, every single month.
It’s not fraud. It’s not negligence. It’s friction.
It’s the claim that gets underpaid by 23% and nobody disputes it. It’s the denial that sits in a queue for 47 days and eventually gets written off. It’s the OON case that gets paid at a fraction of what it should be because nobody pushed back.
Revenue leakage doesn’t announce itself. It accumulates.
And for most practices, by the time someone notices — it’s already six figures gone.
We audit your payer payments against contracted rates, UCR benchmarks, and — for OON claims — QPA (Qualifying Payment Amount) standards under the No Surprises Act.
You’ll see exactly which payers are underpaying, by how much, and on which procedure codes. Then we dispute it on your behalf.

Payer Payment Analysis

OON Underpayment Scan

Fee Schedule Benchmark

Contract Compliance Review

Dispute Opportunity Report

Written Summary

We know the IDR process inside out

We don't outsource overseas

We push back — specifically

We know what UCR actually looks like for your specialty

Fill out the form. Confirmed within one business day.

We'll request an EOB summary or payer payment report from your PM system. Most take under 20 minutes to pull.

Every payer payment is reviewed for compliance with contracted rates, UCR benchmarks, and NSA/QPA standards.

Written findings with specific dispute opportunities and dollar amounts. We can begin recovery on contingency if you choose.
Most practices don’t — because tracking payment-to-rate compliance across hundreds of CPT codes and multiple payers requires systematic analysis most billing companies don’t perform. That’s exactly what this review does.
A denial means the claim wasn’t paid. An underpayment means the claim was paid — but at a rate below what you’re owed. Underpayments are more common, harder to detect, and often larger in aggregate than denials.
Yes — with some limitations. In-network contracts have specific timelines for disputing underpayments. OON claims under the NSA have their own IDR process with defined filing windows. We’ll flag which opportunities are still within the dispute window during your review.
IDR (Independent Dispute Resolution) is the federal arbitration process created under the No Surprises Act for out-of-network claims. When insurers pay below QPA, you can dispute the payment through IDR. Practice With Ease handles the full IDR process on contingency.
IDR disputes typically resolve in 30–60 days under federal guidelines. In-network contract disputes vary by payer. We’ll give you realistic timelines for each situation during your review.
It helps for in-network analysis, but it’s not required. For OON claims, we benchmark against QPA and UCR data without needing your specific contracts.
With respect to your billing company — most don’t perform systematic underpayment auditing. It’s not in their standard workflow. That doesn’t mean nothing is being missed. The review will tell you definitively.
Generally, practices billing over $500K annually have enough volume for systemic underpayments to be financially meaningful. That said, even smaller practices with high OON exposure are worth reviewing.
Most practices that request this review find at least one payer systematically underpaying them. Request yours and get a specific answer.
Free. HIPAA compliant. Delivered in 5 business days. No obligation to act on the findings.
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If we find nothing, you owe nothing. If we find something, we can recover it on contingency.
do you know if your top 3 payers are paying you correctly? Request a free review to find out.